NURS 5432 FNP 1 | NURS 5432 FAMILY 1 MIDTERM AND FINAL EXAM
UNIVERSITY OF TEXAS AT ARLINGTON (UTA) THIS EXAM INCLUDES
MODULES 1-6 ACTUAL EXAM
1. A 52-year-old patient presents to the family nurse practitioner clinic for an
annual comprehensive health assessment and reports that the main reason
for the visit is increasing fatigue over the past three months. The patient
works full time, sleeps approximately six hours each night, denies
depression, and reports no recent illness. Which component of the history
should the FNP prioritize first to establish the most clinically useful
framework for evaluating this complaint?
A. Ask whether the patient has recently changed sexual partners
B. Obtain a detailed history of sleep, diet, activity, medications, substance
use, mood, and associated symptoms
C. Determine whether the patient has a family history of colon cancer
D. Ask whether the patient has received the influenza vaccine this year
Answer: B
2. During a new-patient visit, a 34-year-old patient explains that abdominal
discomfort occurs intermittently after meals but is embarrassed to discuss
bowel habits. The patient gives brief answers and repeatedly looks toward
the door. Which communication approach by the FNP is most appropriate
for obtaining accurate information while maintaining a therapeutic
relationship?
A. Tell the patient that bowel habits are routine questions and require no
explanation
B. Ask the patient's spouse to provide the information
C. Use nonjudgmental, open-ended questions and normalize discussion of
sensitive symptoms
D. Avoid discussing bowel habits unless the patient independently
introduces them
Answer: C
pg. 1
, 3. A 67-year-old patient with hypertension, type 2 diabetes, osteoarthritis, and
hyperlipidemia brings a large bag containing prescription medications, over-
the-counter products, vitamins, and herbal supplements. The patient
reports occasionally taking medications differently from the prescribed
schedule. Which action should the FNP take to improve medication safety
during the comprehensive assessment?
A. Perform medication reconciliation, including prescription drugs, OTC
products, supplements, doses, schedules, and actual use
B. Ask the patient to stop all supplements until the next visit
C. Document only medications prescribed by the patient's primary clinician
D. Instruct the patient to bring only prescription medication bottles to
future visits
Answer: A
4. A 45-year-old patient presents for a preventive examination and states that
several relatives have developed cancer at relatively young ages. The
patient is unsure which relatives had which cancers and does not know the
exact ages of diagnosis. Which history-taking strategy would provide the
most useful information for determining hereditary risk?
A. Ask only whether either parent had cancer
B. Determine whether the patient personally has symptoms of cancer
C. Focus exclusively on environmental exposures
D. Construct a multigenerational family history documenting affected
relatives, cancer types, and approximate ages at diagnosis
Answer: D
5. A 29-year-old patient reports recurrent headaches that occur two or three
times each week. The patient describes them as throbbing and occasionally
associated with nausea and sensitivity to light. During the history, the FNP
wants to distinguish a primary headache disorder from potentially
dangerous secondary causes. Which additional question is most important
initially?
A. "What is your favorite type of food?"
B. "Do headaches occur at approximately the same time every day?"
pg. 2
, C. "Have you experienced sudden maximal intensity, neurologic changes,
fever, trauma, or a significant change in your usual headache pattern?"
D. "Does anyone else in your family dislike bright lights?"
Answer: C
6. A 61-year-old patient reports dizziness when getting out of bed in the
morning. The patient denies chest pain but reports occasionally feeling as
though the room is spinning. Which history question would best help the
FNP distinguish orthostatic symptoms from vertigo?
A. Determine whether symptoms occur specifically with changes in position
and whether the patient experiences a spinning sensation
B. Ask whether the patient prefers salty foods
C. Determine whether the patient has ever had a dental procedure
D. Ask whether symptoms occur after eating carbohydrates
Answer: A
7. During an adult health assessment, a 72-year-old patient has difficulty
recalling the names of medications but correctly describes daily routines
and recognizes family members. The patient's daughter reports concern
about "memory problems." Which initial approach is most appropriate?
A. Diagnose dementia based solely on the daughter's report
B. Determine baseline cognition and functional status using history,
observation, and an appropriate cognitive screening approach
C. Assume the changes represent normal aging
D. Immediately prescribe a cognitive-enhancing medication
Answer: B
8. A 40-year-old patient presents for an annual examination and says, "I have
been feeling down, but I don't think I am depressed." The FNP wants to
explore the concern without prematurely assigning a diagnosis. Which
response is most appropriate?
A. "You probably have depression if you have been feeling down."
B. "Depression is common, so you should not worry about it."
C. "What makes you think you might be depressed?"
pg. 3
, D. "You need to complete a depression questionnaire before we discuss it."
Answer: C
9. A 56-year-old patient with chronic low back pain reports using an herbal
preparation purchased online because a friend said it was "completely
natural." Which response by the FNP best reflects appropriate medication
and supplement assessment?
A. "Natural products are generally safe, so you can continue it."
B. "Stop it immediately because all herbal products are dangerous."
C. "Herbal products cannot interact with prescription medications."
D. "Tell me the exact product, dose, frequency, and reason you are taking it
so we can evaluate potential benefits, adverse effects, and interactions."
Answer: D
10. A 48-year-old patient presents for preventive care and says, "I do not smoke
cigarettes, but I vape every day." The FNP wants to obtain a meaningful
tobacco and nicotine history. Which information is most important to
establish?
A. Only the patient's preferred flavor
B. Nicotine exposure, frequency and duration of use, previous tobacco use,
dependence, and readiness to change
C. Whether the patient's coworkers vape
D. Whether the patient believes vaping is socially acceptable
Answer: B
11. A 25-year-old patient comes to the clinic with a sore throat, nasal
congestion, and cough that began two days ago. The patient requests
antibiotics because a sibling recently received an antibiotic for a "similar
illness." Which approach is most appropriate before deciding on treatment?
A. Prescribe an antibiotic because the patient requests one
B. Determine whether findings suggest a viral syndrome, streptococcal
pharyngitis, or another cause and use appropriate diagnostic criteria
C. Prescribe two antibiotics to cover all common pathogens
pg. 4
UNIVERSITY OF TEXAS AT ARLINGTON (UTA) THIS EXAM INCLUDES
MODULES 1-6 ACTUAL EXAM
1. A 52-year-old patient presents to the family nurse practitioner clinic for an
annual comprehensive health assessment and reports that the main reason
for the visit is increasing fatigue over the past three months. The patient
works full time, sleeps approximately six hours each night, denies
depression, and reports no recent illness. Which component of the history
should the FNP prioritize first to establish the most clinically useful
framework for evaluating this complaint?
A. Ask whether the patient has recently changed sexual partners
B. Obtain a detailed history of sleep, diet, activity, medications, substance
use, mood, and associated symptoms
C. Determine whether the patient has a family history of colon cancer
D. Ask whether the patient has received the influenza vaccine this year
Answer: B
2. During a new-patient visit, a 34-year-old patient explains that abdominal
discomfort occurs intermittently after meals but is embarrassed to discuss
bowel habits. The patient gives brief answers and repeatedly looks toward
the door. Which communication approach by the FNP is most appropriate
for obtaining accurate information while maintaining a therapeutic
relationship?
A. Tell the patient that bowel habits are routine questions and require no
explanation
B. Ask the patient's spouse to provide the information
C. Use nonjudgmental, open-ended questions and normalize discussion of
sensitive symptoms
D. Avoid discussing bowel habits unless the patient independently
introduces them
Answer: C
pg. 1
, 3. A 67-year-old patient with hypertension, type 2 diabetes, osteoarthritis, and
hyperlipidemia brings a large bag containing prescription medications, over-
the-counter products, vitamins, and herbal supplements. The patient
reports occasionally taking medications differently from the prescribed
schedule. Which action should the FNP take to improve medication safety
during the comprehensive assessment?
A. Perform medication reconciliation, including prescription drugs, OTC
products, supplements, doses, schedules, and actual use
B. Ask the patient to stop all supplements until the next visit
C. Document only medications prescribed by the patient's primary clinician
D. Instruct the patient to bring only prescription medication bottles to
future visits
Answer: A
4. A 45-year-old patient presents for a preventive examination and states that
several relatives have developed cancer at relatively young ages. The
patient is unsure which relatives had which cancers and does not know the
exact ages of diagnosis. Which history-taking strategy would provide the
most useful information for determining hereditary risk?
A. Ask only whether either parent had cancer
B. Determine whether the patient personally has symptoms of cancer
C. Focus exclusively on environmental exposures
D. Construct a multigenerational family history documenting affected
relatives, cancer types, and approximate ages at diagnosis
Answer: D
5. A 29-year-old patient reports recurrent headaches that occur two or three
times each week. The patient describes them as throbbing and occasionally
associated with nausea and sensitivity to light. During the history, the FNP
wants to distinguish a primary headache disorder from potentially
dangerous secondary causes. Which additional question is most important
initially?
A. "What is your favorite type of food?"
B. "Do headaches occur at approximately the same time every day?"
pg. 2
, C. "Have you experienced sudden maximal intensity, neurologic changes,
fever, trauma, or a significant change in your usual headache pattern?"
D. "Does anyone else in your family dislike bright lights?"
Answer: C
6. A 61-year-old patient reports dizziness when getting out of bed in the
morning. The patient denies chest pain but reports occasionally feeling as
though the room is spinning. Which history question would best help the
FNP distinguish orthostatic symptoms from vertigo?
A. Determine whether symptoms occur specifically with changes in position
and whether the patient experiences a spinning sensation
B. Ask whether the patient prefers salty foods
C. Determine whether the patient has ever had a dental procedure
D. Ask whether symptoms occur after eating carbohydrates
Answer: A
7. During an adult health assessment, a 72-year-old patient has difficulty
recalling the names of medications but correctly describes daily routines
and recognizes family members. The patient's daughter reports concern
about "memory problems." Which initial approach is most appropriate?
A. Diagnose dementia based solely on the daughter's report
B. Determine baseline cognition and functional status using history,
observation, and an appropriate cognitive screening approach
C. Assume the changes represent normal aging
D. Immediately prescribe a cognitive-enhancing medication
Answer: B
8. A 40-year-old patient presents for an annual examination and says, "I have
been feeling down, but I don't think I am depressed." The FNP wants to
explore the concern without prematurely assigning a diagnosis. Which
response is most appropriate?
A. "You probably have depression if you have been feeling down."
B. "Depression is common, so you should not worry about it."
C. "What makes you think you might be depressed?"
pg. 3
, D. "You need to complete a depression questionnaire before we discuss it."
Answer: C
9. A 56-year-old patient with chronic low back pain reports using an herbal
preparation purchased online because a friend said it was "completely
natural." Which response by the FNP best reflects appropriate medication
and supplement assessment?
A. "Natural products are generally safe, so you can continue it."
B. "Stop it immediately because all herbal products are dangerous."
C. "Herbal products cannot interact with prescription medications."
D. "Tell me the exact product, dose, frequency, and reason you are taking it
so we can evaluate potential benefits, adverse effects, and interactions."
Answer: D
10. A 48-year-old patient presents for preventive care and says, "I do not smoke
cigarettes, but I vape every day." The FNP wants to obtain a meaningful
tobacco and nicotine history. Which information is most important to
establish?
A. Only the patient's preferred flavor
B. Nicotine exposure, frequency and duration of use, previous tobacco use,
dependence, and readiness to change
C. Whether the patient's coworkers vape
D. Whether the patient believes vaping is socially acceptable
Answer: B
11. A 25-year-old patient comes to the clinic with a sore throat, nasal
congestion, and cough that began two days ago. The patient requests
antibiotics because a sibling recently received an antibiotic for a "similar
illness." Which approach is most appropriate before deciding on treatment?
A. Prescribe an antibiotic because the patient requests one
B. Determine whether findings suggest a viral syndrome, streptococcal
pharyngitis, or another cause and use appropriate diagnostic criteria
C. Prescribe two antibiotics to cover all common pathogens
pg. 4
